42 NORTH DENTAL CARE, LLC (NPI# 1033765953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033765953 |
| Entity Type | Organization |
| Organization Name | 42 NORTH DENTAL CARE, LLC |
| Practice Address |
180 Alewife Brook Pkwy Cambridge MA 02138-1102 |
| Practice Telephone | 6175392524 |
| Mailing Telephone | 6175392524 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | TAFPHANE LEGRANDE (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 7816470772 |
| Is Organization Subpart | Y |
| Parent Organization Name | 42 NORTH DENTAL CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresh Pond Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689229171 | 42 North Dental Care, LLC | Clinic/Center | 23 Riverside Ave, Medford, MA 02155-4605 | 2019-08-02 |
| 1649730334 | 42 North Dental Care, LLC | Clinic/Center | 41 Park Ave Ste 3-4, Worcester, MA 01605-3947 | 2019-03-20 |
| 1205868098 | 42 North Dental Care, LLC | Dentist | 200 5th Ave, Waltham, MA 02451-8779 | 2006-07-06 |
| 1356975874 | 42 North Dental Care, LLC | Clinic/Center | 382 Grove St, Braintree, MA 02184-7324 | 2020-02-24 |
| 1982250726 | 42 North Dental Care, LLC | Clinic/Center | 21 Main St, Watertown, MA 02472-4403 | 2019-08-16 |
| 1134775059 | 42 North Dental Care, LLC | Clinic/Center | 76 Otis St, Westborough, MA 01581-3315 | 2019-08-15 |
| 1245882604 | 42 North Dental Care, LLC | Clinic/Center | 188 Needham St, Newton, MA 02464-1596 | 2019-07-15 |
| 1760048193 | 42 North Dental Care, LLC | Clinic/Center | 1 E Main St, Northborough, MA 01532-1662 | 2019-05-10 |
| 1013572635 | 42 North Dental Care, LLC | Clinic/Center | 10 Lincoln St, Plymouth, MA 02360-3326 | 2019-05-08 |
| 1851851547 | 42 North Dental Care, LLC | Clinic/Center | 471 W Central St, Franklin, MA 02038-2961 | 2019-03-20 |
| Street Address |
180 ALEWIFE BROOK PKWY |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134496904 | Fresh Pond Dental LLC | Clinic/Center | 180 Alewife Brook Pkwy, Cambridge, MA 02138-1102 | 2011-11-22 |
| 1285111369 | Nandini Sharma | Dentist | 180 Alewife Brook Pkwy, Cambridge, MA 02138-1102 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134496904 | Fresh Pond Dental LLC | Clinic/Center | 180 Alewife Brook Pkwy, Cambridge, MA 02138-1102 | 2011-11-22 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1669788253 | Lux Dental Care P.C. | Clinic/Center | 122 First Street, Cambridge, MA 02141 | 2010-08-20 |
| 1750521399 | Prospect Dental Group, L.L.C. | Clinic/Center | 30 Prospect St., Cambridge, MA 02139 | 2009-02-23 |
| 1710132154 | Alegria Dental Group, P.C. | Clinic/Center | 1058 Cambridge Street, Cambridge, MA 02139-1407 | 2008-11-26 |
| 1033363395 | Cambridge Dental Annex | Clinic/Center | 897 Massachusetts Ave, Cambridge, MA 02139-3045 | 2008-11-12 |
| 1952515181 | Albert R. Duarte, D.m.d., P.C. | Clinic/Center | 2130 Massachusetts Ave, Suite 1a, Cambridge, MA 02140-1927 | 2007-05-09 |
| 1366539082 | Matthew J Peterson, Dds, Pa | Clinic/Center | 124 1st Ave E, Cambridge, MN 55008-1209 | 2006-10-06 |
| 1164079810 | Andrew Schwartz-hinds Dmd Pllc | Clinic/Center | 825 Cambridge St, Cambridge, MA 02141-1429 | 2019-08-19 |
| 1962996025 | Central Square Dental PC | Clinic/Center | 14 Pleasant St, Cambridge, MA 02139-3212 | 2018-06-21 |
| Find all providers in CAMBRIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.